Department of Mechanical and Aerospace Engineering
ABSENCE FROM CAMPUS
FOR TRAVEL 7 DAYS OR LESS WITHIN THE USA or INTERNATIONALLY.
FOR TRAVEL EXCEEDING 7 DAYS, FORM UCI-AP-76 IS REQUIRED, PLEASE GO TO:
http://www.ap.uci.edu/Forms/APforms/UCI-AP-76.pdf
Name: Date:
DATE(S) ABSENT FROM CAMPUS:
Departure Date: Time:
Return Date: Time:
Destination:
Phone:
Contact:
Purpose:
Course(s) you are currently teaching: Date/Time?
Course(s) you are currently teaching: Date/Time?
How will the students be notified of your absence?
Email Post Note in Class Other
Who will notify the students?
How will the class(s) be covered?
Signature: Date:
Faculty
Approval Date:
Department Chair
Please hand-deliver the completed form to Marcia or Tiffany BEFORE your departure. Revised 10/14